Provider Demographics
NPI:1275881641
Name:DISCHER, LISA ANN (MS, LPC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:DISCHER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:ANN
Other - Last Name:HIRTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:270 FARMINGTON AVE STE 328
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1909
Mailing Address - Country:US
Mailing Address - Phone:860-368-0482
Mailing Address - Fax:
Practice Address - Street 1:270 FARMINGTON AVE STE 328
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1909
Practice Address - Country:US
Practice Address - Phone:860-368-0482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2511101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health